Bartholin Duct Marsupialization

Irwin Goldstein, Alyssa Yee

Bartholin cyst, Bartholin duct, marsupialization, Word catheter

The presumed pathophysiology of a Bartholin cyst is an obstructed Bartholin duct at the 5:00 or 7:00 ostia. This video describes the surgical treatment of a symptomatic Bartholin cyst.  Traditionally these have been treated by a Word catheter which tends to be either uncomfortable, does not stay in place, or is not effective long term. While it is relatively easy to simply marsupialize the swollen cyst, the trick shown in this video is how to locate the actual duct, bring it to the surface and attach it in place so that the lubrication that forms during sexual stimulation is allowed to reach the surface rather than building up underneath and potentially causing discomfort or pain. Uncomfortable Bartholin cysts are a known side effect of vestibulectomy but can also form after trauma or infection.

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The authors have nothing to disclose

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